[0001] This invention relates to an improvement in methods for the isolation, detection
and determination of peptides, antigens, nucleic acids, immunogens, antibodies, binding
partners and the like as well as for the formation of antibodies in vivo.
[0002] A number of methods have been developed for the isolation and determination of antigens
and antibodies which rely on the attachment of one of the binding partners to a solid
phase. A sensitized solid carrier is used either in order to facilitate the manipulations
and the isolation of one of the binding partners engaged in the determination or isolation,
or in order to provide a visual indication that the binding reaction has taken place.
[0003] In radio-immunoassay and in enzymo-immunoassay, a solid phase constituted of activated
cellulose (U.S. patent 3,839,153) is used to render one partner of the binding reaction
insoluble. During the determination, some means must be used to keep the sensitized
cellulose constantly in suspension. It is also known that the walls of plastic tubes
can be sensitized and then used as the solid phase in diagnostic determinations (U.S.
patent 4,016,043). In this case an instrument is needed to keep the solution in motion
during the determination.
[0004] The detection and titration of antigens and antibodies visualized by an aggregation
phenomenon of a sensitised solid carrier such as erythrocytes, bentonite, collodium,
quartz, synthetic resins and latex, is mentioned in U.S. patent 3,826,613 and U.S.
3,553,310.
[0005] These carriers are subject however to various limitations. The preparation of stabilized
erythrocytes is usually difficult and the red blood cells prepared and sensitized
by the methods described in the above mentioned inventions do not aggregate on a slide
in the presence of antiserum. Chromic chloride used for the sensitisation of red blood
cells allows a visualisation on a porcelaine tile of the aggregation provided by specific
antiserum, but the sensitisation itself is transient: the sensitized cells hold for
only a week. No slide test based on the use of sensitized erythrocytes has been marketed
up till today. Other carriers (bentonite, latex, collodium, quartz) which readily
adsorb proteins or polysaccharides aggregate on a slide in the presence of antiserum
but they will also adsorb spontaneously interfering proteins, antibodies and polysaccharides
present within the fluid to be analyzed. The use of these carriers brings about a
high incidence in false results. This is implicit in U.S. patent 3,826,613 where aggregates
of latex particles that spontaneously form with a virus or with an antibody or other
protein serve as an index of concentration of these substances in the analyzed fluid.
Very clean material containing only the agent one wishes to analyze, therefore, needs
to be used for the determinations. In addition, these synthetic solid phases, in order
to be acceptable, must meet rigid requirements in size and quality which are not always
reproducible.
[0006] In the present invention use is made of bacteria, yeast cells, red blood cells as
solid carriers for proteins, polysaccharides, nucleic acids, lectins, antigens, antibodies
immunogens haptens and the like. Bacteria are easy to grow and can be readily produced
in large quantities. Their size, when the bacterium strain and type is well chosen,
is very reproducible and their membrane is extremely resilient and fairly inert, that
is, free of adsorbing contaminants. Further they may, without fear of damage, be dried,
frozen, or lyophilized for storage purposes. Yeast cells are industrially produced
and red blood cells may be obtained in large quantities at slaughterhouses. Glutaraldehyde
is used for the activation.
[0007] The step used to activate the bacteria, yeast cells, red blood cells and other before
sensitization also serves to simultaneously fix their condition but, if need be, fixing
may take place in a separate earlier step either by formolinisation or by heat shock
or by the use of some other bactericidal technique known in the art.
[0008] After washing off excess reagents the activated unicellular entities are sensitized.
The sensitized solid phase may be employed in a variety of diagnostic determinations
based on the interaction of binding partners. For example, it may be used as a slide
test. In this case a drop of antigen-sensitized solid carrier is mixed on a glass-slide
with a drop of specific antiserum or antigen receptor and a drop of test reagent containing
an unknown amount of antigen. After 2-3 minutes the glass-slide is viewed as a transparency
against a dark background. In the absence of free antigen, the beads will aggregate
in the presence of antiserum. In the presence of free antigen the antiserum activity
will be blocked and there will occur an inhibition of aggregation. The same aggregation
phenomenon can be used to determine the level of an unknown antiserum.
[0009] Also if the yeast cells, red blood cells or bacteria have been sensitized with specific
antibodies or a specific receptor, then aggregation is obtained by the admixture of
antigen or binding partner. In that case inhibition of aggregation results from the
presence of excess free antiserum.
[0010] If aggregates obtained by the interaction of a sensitized carrier and its free binding
partner are too thin or weak to be detected by the naked eye, they may be detected
by more refined means, such as a microscope, a Coulter Counter, a nephelometer, a
photometer, a turbidimeter or a light scattering sensing device such as the one developed
in U.S. patent 3,905,767.
[0011] When appropriately chosen, bacteria have a size that for each bacterial strain remains
confined within well defined limits. Uniformity of size is very important when a sensitized
solid carrier is used whose aggregation under the influence of a specific binding
partner is recorded in a Coulter Counter, in a nephelometer or turbidimeter or when
the sensitized bacteria are used as a marker in cytochemistry to detect antigens in
histologie slides.
[0012] Further bacteria sensitized by a binding partner are useful as solid phases in enzymo-immunological,
fluoro-immunological and radio-immunological tests. They present the advantage over
other beaded solid carriers of extreme smallness. Their sedimentation rate is therefore
so slow that they remain in suspension during the time needed to make a determination
and no agitating device is thus required to keep them in suspension, contrary to beads
of cellulose, of Sephadex or of polyacrylamide. In addition, they have the advantage
over other solid carriers of showing a very low non-specific adsorption of foreign
proteins.
[0013] Sensitized bacteria or sensitized red blood cells prepared according to the description
of the invention are very valuable for use as solid carriers for the inoculation of
antigens and haptens into animals. By attachment of the antigen to a solid phase,
this antigen is made insoluble and less rapidly eliminated through the subject's kidneys.
Usually this result is achieved by including the antigen in droplets of water-in-oil
emulsion (Freund incomplete adjuvant); the oil of such emulsion may also contain bacteria
(Bordetella Pertussis, Mycobacterium Tuberculosis, Mycobacterium Butyricum) which
act to mobilize unspecifically the inmunological defenses of the organisms (Freund
complete adjuvant). The inoculation into animals of antigen included in a Freund complete
adjuvant or Freund incomplete adjuvant leads many times to the development of uncontrollable
sterile abscesses. The occurrence of such abscesses is unacceptable when the vaccine
inoculation proceeds in humans or else in farm animals destined to the market since
these abscesses mar the meat.
[0014] The direct attachement of an hapten or an antigen to bacteria obviates the need for
water-in-oil emulsions. Furthermore the bacterial solid carrier may be chosen to be
either a strong immunogen such as B. Pertussis, V. Cholerae or M. Butyricum or may
be chosen from bacterial strains that have strong interest as a vaccine. (Vibrio Cholerae,
Staphylococcus Aureus, Neisseria Gonorrhoaea, etc.). In this case the unspecific immunological
effect of the bacteria is further enhanced by incubating the sensitized bacteria in
the presence of a soluble adjuvant (N. acetyl-muramyl-L-alanyl-D-Isoglutamine) or
double stranded polynucleotides combined to protamine or histones that attach to remaining
free activating residues. If the quality of the inoculated meat is of no importance,
that is, is not destined to market or for use in human beings or pet animals, these
carriers may be further incorporated in a water-in-oil emulsion in order to amplify
even more the wanted immunologic response.
[0015] The attachment of the hapten or immunogen may also occur on red blood cells originating
from the same animal species one uses for the production of antibodies. In this case
no foreign material except the attached hapten or immunogen is introduced into the
animal and one minimizes thus the creation of unwanted antibodies. Such a system of
immunization has been described (see : Journal of Immunological Methods, 23 (1978)
91-97). The coupling agent used to attach hormones to red blood cells is tannic acid
which is notoriously poor for this purpose, in that only a fraction of the added hormone
will be attached to the cells, the rest remaining unattached and lost during purification
steps.
[0016] Bacteria are very easy to grow and may be obtained in large quantities at minimal
expense. After growth is achieved, the bacteria are collected by centrifugation (e.g.
8,000 rpm for 20 min.) washed once in saline solution and killed or fixed. This killing
is accomplished by the standard means at the disposition of the bacteriologist such
as ozone bubbling, formalin, heat shock, acrolein, etc.
[0017] Yeast cells are obtained from industrial plants and red blood cells are obtained
from laboratory animals or slaughterhouses.
[0018] Bacteria would be a material of choice for the development of solid carriers useful
in diagnostic tests. Yet they are extremely difficult to activate. One approach consists
in the use as solid carrier of a bacterium that possesses naturally a specific binding
partner on its surface. Such a bacterium exists. It is Staphylococcus Aureus that
bears on its surface a protein A. This protein A has the property to react with and
bind human gamma globulins. The system has been exploited (U.S. patent 4,189,466 Ainis
et al., 1980). Yet, the system is restricted solely to the detection of gamma-globulins
and their derivatives. It lacks flexibility.
[0019] Likewise, yeast cells, red blood cells and other unicellular organisms (e.g. euglena
viridis, blue algae) could fulfil the purpose of serving as a solid carrier. Up till
now red blood cells have been widely used. Yet the red blood cells are so poorly sensitized
that they can be used solely in haemagglutination tests where the cells are left sedimenting
1 to 2 hours before a result can be obtained. There exists no slide tests based on
the aggregation of sensitized red blood cells that could be read in a few minutes,
with the exception of chromic chloride sensitized cells. In this case, however, the
cells hold for only a few days.
[0020] A wider use of bacterias as solid carriers and the use of unicellular animal and
plant cells in aggregation tests depends primarily on the evolvement of an efficacious
system of activation and sensitization that would attach on the membranes of the cells
sufficiently large quantities of a sensitizing compound to make them fully reactive
in the presence of antiserum. This has not been up till now the case. In most sensitisation
procedures applied to red cells, only a tiny fraction of the added sensitizing agent
is really fixed on the cells. The largest part of it is lost in the washing fluids.
[0021] The chemical coupling of sensitizing agents to bacteria, yeast cells red blood cells
has been described in various patents among which one should cite U.S. patent 3,553,310
delivered to Czismas in 1971 as well as Patel (U.S. 3,882,225). The granted patents
cover almost exhaustively the different coupling agents existing. The examples given
range from bisdiazotated benzidine to di-fluoro dinitrobenzene, acroleine, glutaraldehyde,
carbodiimide, hydroquinone and cyanogen bromide. These coupling agents were all assayed
by us in accordance with the descriptions given by the various authors in the examples
given in the patents and also in the demand of Maes.
[0022] Not one single coupling system has given satisfaction for the purpose intended :
namely be able to activate and couple sensitizing agents to stabilised bacteria, stabilised
yeast cells, stabilised red blood cells in such a way that these unicellular organisms
fully react by aggregation within a few minutes under the influence of suitable amounts
of the corresponding antibodies.
[0023] In some cases (hydroquinone (Avrameas, Scand. J. Immunol. 8, 21, (1978) acrolein
(U.S. 3,553,310) bisdiazotated benzidine (U.S. 3,882,225), cyanogen chloride (German
Of en. 2,126,766) no sensitization could be demonstrated in using bacteria. This failure
to sensitise the activated membranes occurred not only with soluble antigen but occurred
also when the sensitizing protein was polymerized on itself, as described in U.S.
patent 3,882,225. Glutaraldehyde applied in accordance to the examples given (4°C
or R.T. applied during a time extending from 2 hours to 18 hours, using also distilled
glutaraldehyde) gave erratic results (U.S. 3,553,310 et U.S. 4,223,005). It sometimes
worked, sometimes not at all. This is also described in "techniques in clinical immunology"
second edition, 1981, p. 67. We also tried polymerized glutaraldehyde (Macromolecules
13, 19-23 (1980) in the conditions described by the authors and have consistently
failed in our endeavours to sensitize bacteria, yeast or red blood cells so heavily
that they would become of value for aggregation tests or as carriers for affinity
chromatography). Carbodiimide used according to U.S. patent 4,100,268 July 11, 1978,
gave also negative results. No diagnostic tests hased on the use of bacteria or red
cells in a diagnostic slide test is yet available.
[0024] Surprisingly, according to the invention it has been discovered that glutaraldehyde
may be used for this purpose, when applied in an as yet undescribed manner.
[0025] More specifically, according to the invention, the activation of a bacterial strain,
yeast cells, red blood cells or other unicellular living entities is performed with
an activating agent essentially consisting of a glutaraldehyde solution at a final
concentration of at least 2.5% mixed with one of said bacterial strain, yeast cells,
red blood cells or other unicellular entities.
[0026] The activation step can be performed at room temperature but is preferably performed
at a temperature of at least about 37°C or even higher if the material withstands
the heat and the reaction is allowed to proceed during at least 24 hours, preferably
at least 48 hours.
[0027] According to a preferred embodiment, the temperature ranges from 20°C, preferably
about 37°C,to 60°C during at least 24 hours, preferably at least 48 hours.
[0028] The pH range was found not to be very important but should be initially between 5
and 9.
[0029] According to another advantageous embodiment, said bacterial strain, yeast cells,
red blood cells or other unicellular entities are under the form of a suspension at
about 20% (volume/volume) in buffered saline preferably phosphate buffered saline.
[0030] According to another advantageous embodiment of the invention method, the sensitization
is performed by mixing a suspension of the activated bacterial strain, yeast cells,
red blood cells or other unicellular entities at about 50% (volume/volume) with the
sensitizing agent and reacting the mixture thus obtained under agitation at a pH ranging
from 5 to 10 during at least 24 hours at about 37°C or more.
[0031] Preferably, the sensitizing agent is added either as a dry powder or else as a concentrated
solution.
[0032] After sensitization has taken place, the products are preferably thoroughly washed
and stored at 10% (volume/ volume) at 4°C underaprotecting agent such as merthiolate,
sodium azide or formaldehyde.
[0033] Sensitized bacteria possess a vast range of interesting applications not shared by
other solid carriers. Compared to other beads, they are very small and present an
enormous surface of exchange. They are sufficiently small and light so that they do
not sink to the bottom of reacting tubes during manipulations and determinations,
yet sufficiently dense to be easily collected by centrifugation. Their membrane is
very tough and resilient, may be submitted to various treatments without fear of destruction,
yet is also fairly inert so that they do not spontaneously adsorb unspecific contaminants.
This is very important in diagnostic determinations of small quantities of substances.
[0034] Bacteria may also be stained. They may be coloured in blue by methylene-blue, Turks
stain or May-Grunwald stain. Pyronin will colour them red. Gram stain will colour
them according to their classification. Sensitized stained bacteria provide an excellent
method to detect agglutination in the presence of specific antiserum. When put on
a glass-slide at a suitable concentration, 10 µl of bacteria sensitized with a binding
partner + 10 µl of antiserum or antigen well mixed will produce in 3 minutes a visible
agglutination. In the presence of an additional 10/ul of fluid containing the free
binding partner similar to the partner attached to the bacteria, an inhibition of
agglutination will take place. Surprisingly also, identically sensitized red blood
cells aggregate in a visible way in slide tests, which is not the case when other
coupling agents are used, yet they become much more reactive still when their specific
agglutination is promoted by sensitized bacteria. The visualization of the agglutination
is then enhanced in a very striking way.
[0035] Agglutination is detected not necessarily only by visual inspection on a glass-slide.
It may also be detected after slow sedimentation to the bottom of a test tube or can
be detected by aggregate counting in a Coulter Counter or by light intensity changes
in a nephelometer or turbidimeter or by light scattering. Since bacteria are very
uniform in size, sensitized by a covalent bondage, very solid and little influenced
by the presence of extraneous contaminants, their use in nephelometry or in aggregate
counting by a Coulter Counter is more rewarding than the use of latex particles or
other solid carriers. Also, the aggregation of latex particles by proteins occurs
spontaneously in an uncontrollable way, whereas the bacteria are preliminarily sensitized
by the sensitizing substance using covalent bondages and the degree of their sensitization
may be easily controlled by varying the amount of sensitizing substance or the amount
of aggregating free binding partner.
[0036] Very small organisms like Bordetella Pertussis stained by M. GrUnwald are preferred
when sensitized bacteria are used in cytochemistry as markers to locate the presence
of a binding partner on a tissue slide. These sensitized bacteria easily recognized
may also be enzymatically or fluorescently tagged for better recognition and are an
excellent substitute to conventionally enzyme-labelled or fluorescent-labelled proteins.
[0037] The very small size of the sensitized bacteria offering a comparatively great surface
area, together with the absence of adsorption of unspecific proteins as well as their
slow sedimentation rate make them valuable in diagnostic tests where a solid phase
is used.
[0038] In radio-immunological, enzymo-immunological and fluoroimmunological methods based
on the use of a sensitized solid phase destined to isolate one of the binding partners
specifically involved in a binding reaction, it is essential to reduce as much as
possible disturbing unspecific adsorptions. Also, the need to keep the solid phase
perpetually in suspension or else the need to perpetually keep the liquid phase in
motion when the solid phase consists in the walls of the reacting tube, is bothersome
and costly. When bacteria are used as a sensitized solid phase, these two difficulties
are avoided. The bacteria do not sediment during the time needed for the performance
of most determinations (24 to 48 h) and further, their inertness to the presence of
foreign proteins in the test fluids allows the use of larger amounts of this fluid
and increases the sensitivity of the system.
[0039] In addition to this, the enormous surface of exchange they provide allows the use
of only minute amounts of them in each determination. This substantially reduces the
costs of each determination.
[0040] Sensitized bacteria may serve as immunologic adjuvants capable of enhancing the immune
response upon inoculation. The creation of the antibodies against haptens or other
wise immunologically inert molecules, such as nucleotides, nucleic acids, steroids
or biogenic amines, is usually achieved by coupling them to immunogenic proteins such
as bovine gamma-globulins, bovine albumin or other. The same purpose may be achieved
with much greater efficacy by attaching the hapten to the strong immunogen that is
bacterium. When the bacteria used as solid phase are properly chosen (B. Pertussis,
V. Cholerae, M. Butyricum, etc) the hapten becomes a very strong immunogen itself,
whose ability to mobilize the totality of the immunological defense system of the
inoculated organism is further increased by coupling to the remaining activated groups
of the sensitized bacteria, additional immunological adjuvants such as N-acetyl-muramyl-L-alanyl-D.
Isoglutamine or else poly (I:C) or poly (A:U) coated with protamine or histone. Also,
some bacteria may be chosen which hold definite interest as vaccines, such as V. Cholerae
or B. Pertussis.
[0041] The immunogen is then almost at its maximum of efficacy. If need be, further enhancement
of the immunological potency of the vaccine may be obtained by including the immunogen
within droplets of water-in-oil emulsion.
[0042] Red blood cells activated and sensitized in the same way may be used in the same
manner for the obtention of large amounts of antibodies.
[0043] The following examples serve to illustrate clearly and fully the practice of the
invention but are not to be regarded as limiting : (percentages are given by weight
unless otherwise stated, or inappropriate).
Example 1
[0044] 0.2 ml of E. Coli were mixed with 0.2 ml of phosphate buffer 0.2 M at pH 7.5 and
activated with 2.5% glutaraldehyde for 48
'hours at 50°C. The bacteria turned orange upon activation.
'Sensitization with HCG (2 mg for 1 ml of 50% suspension of bacteria in buffer at pH
8) proceeded during 48 h at 37°C. After washing the suspension was used in a slide
test for the detection of HCG.
[0045] Ten microliters of the sensitized suspension were mixed on a glass slide with 10
µl of anti-HCG antiserum diluted to 1.400 in EDTA buffer and 10 µl of urine containing
various concentrations of HCG ranging from 62.5 IU/liter to 1000 IU/liter were added.
After thorough mixing, the slides were tilted for 3 min. at RT after which they were
visually inspected to detect agglutination or inhibition of agglutination. Agglutination
of the bacteria occurred until a concentration of 250 HCG in the urine was present.
At higher concentrations of HCG an inhibition of agglutination took place. This test
is thus very sensitive and extremely competitive with slide tests based on the use
of latex whose limit of sensitivity is about 2000 - 3000 IU/liter.
Example II
[0046] E. Coli was sensitized with HCG as in Example I. After washing, the bacterial suspension
was mixed at a 1:50 dilution with a 20% suspension of HCG-sensitized sheep red cells,
in EDTA buffer pH 7.5 (1.7 gr/ 100 ml). Ten microliters of the double suspension was
added to the 10/ul of a working dilution of antibodies and to 10 µl of different urines
containing various amounts of HCG. After spreading over a glass slide, the suspension
was tilted for 3 min. at RT, then visually inspected for agglutination. Agglutination
of the red cells occurred until the concentration of HCG in the tested urines reached
a level of 500 IU/1. At higher concentrations of HCG, agglutination was inhibited.
The agglutination, furthermore, was very VISIBLE. This pregnancy slide test is thus
very easy to read and very sensitive. It compares well with similar latex tests.
Example III
[0047] Staphylococcus aureus was activated by glutaraldehyde as in Example I and sensitized
with rubella antigen. After sensitization it was stored as a 10% suspension in EDTA
buffer pH 7.5 (1.7 gr/100 ml). The limit of dilution of rubella positive antiserum
was found to be 1:4000 when mixed in equal volumes with a 1:50 dilution of the antigen
sensitized solid carrier.
[0048] Further dilutions of the antibody resulted in a failure of the mixture to show any
distinctive agglutination under visual inspection on a glass slide after 5 min. incubation
at RT. The same suspension of rubella sensitized bacteria was tested for agglutination
in a Coulter Counter. The suspension was diluted 1:20.000 in Isoton pH 7.4. A sample
containing antibodies was added to an exactly determined volume of the bacterial suspension
and incubated over 30 min. at 37°C.
[0049] Coulter Counter (Model F from Coulter Electronics, Inc., Hialesh, Fla) settings were
: aperture 16, attenuation 1, orifice diameter 70 u and threshold value 0. All settings
throughout the analysis remained unchanged except for the threshold value which was
varied. At higher threshold levels, the machine registers only larger aggregates and
one can thus obtain an analysis of the aggregate pattern which occurred due to the
addition of the antibody.
[0050] Three vials were prepared, of which N°.1 1 contained no antibody, N°. 2 contained
antibody at a dilution of 1:16.000 and N°. 3 contained antibody at a dilution of 1:400.
Three counts were made each time at all threshold values applied and the average of
the counts is given in Table I.

[0051] It is clear from the table that aggregates are found not only when a dilution 1:400
antiserum is applied, but also when a higher dilution is applied. This antibody-related
aggregation is not any longer visible by eye but still detectable by optical means.
Example IV
[0052] Confluent coverslip cultures of Baby Hamster Kidney cells (BHK) were infected with
Rubella virus and incubated at 36°C for 48 hours. The cells were thereafter washed
once with phosphate buffered saline and incubated for 1 hour at 37°C with serial dilutions
of human serum obtained from cases of acute rubella. The dilutions were made in anti-rubella
negative serum. After washing the coverslips now carrying human antibodies to rubella
virus they were treated at 37°C for 45 min. with the appropriate working dilution
of glutaraldehyde activated bacteria sensitized with affinity purified goat antiglobulins
against human IgG, IgM and IgA. A portion of the anti-IgG bacteria batch was further
fluorescein labelled.
[0053] The coverslips were carefully washed and examined either by illuminated microscope
to determine the presence of immune adhering bacteria or else by dark- field illumination
in a Reichert microscope. A quartz-halogen light source was used with an interference
excited filter and an OG 530 barrier filter. Fluorescein-labelled bacteria exhibited
an extremely strong, discrete fluorescence.
[0054] Specific immunoglobulin titers were measured in 18 sera obtained at various times
from 4 adults with acute rubella.
I Microscopic observation of bacterial presence
[0055] All three classes of antibody, as revealed by the presence of bacteria on the coverslips,
increased virtually simultaneously within 3 days after the onset of the rash. IgM
declined after the second week (maximum titer : 1/512) and could not be detected after
24 days in undiluted serum. IgA displayed a similar type of response. IgG antibody
reached a maximum (1:2.048) after about 2 weeks and persisted with slight declination
for 150 days, after which the experiment was stopped.
[0056] II Immunofluorescence allowed a 2 to 4 fold increase in sensitivity, in that a recognition
of the presence of bacteria was much facilitated by the observation cf discrete blobs
of fluorescent staining which were absent from the controls.
Example V
[0057] 0.5 ml of E. Coli were diluted in 5 ml of 0.1 M phosphate buffer pH 7.0 and activated
with 2.5% (final) glutaraldehyde during 48 hours at 50°C. After washing the cells
were sensitized with alpha-foeto- protein (aFP) - (Behring Werke). The sensitized
bacteria were treated further with hydroxylamine in order to eliminate the unreacted
glutaraldehyde residues and were used in an enzyme-immunological test for the detection
of aFP.
[0058] One milliliter samples of rabbit antibodies against aFP were incubated in separate
tubes for 3 hours at 37°C with 50/ul of serum containing known amounts of aFP, ranging
from 5 ng/ml to 250 ng/ml. After incubation the different reaction tubes were completed
with 50
/ul of a suspension of aFP-sensitized bacteria and the tubes incubated further during
18 hours at RT.
[0059] The bacterial suspension was then centrifuged down, resuspended in 1 ml of sheep
antiglobulins against rabbit globulins, labelled with peroxidase. After 2 hours incubation
at RT in this medium, the bacterial suspension was collected by centrifugation, washed
once with cold tap water and the peroxidase attached to the suspension was detected
by means of ortho- phenylene diamine in citrate buffer pH 5.0. Colour development
was stopped after 30 min. incubation at RT by addition of 9M H2 S04. Adsorbance was
measured at 480 nm.
[0060] This system made possible the detection of 5ng/ml aFP present in the analyzed serum.
This limit of sensitivity is very low.
Example VI
[0061] The antigen or antibody-coupled bacteria may be easily adhered to object slides with
gelatin. These slides can be handled as histologic preparations on which immunohistochemical
procedures can be performed. All that is then needed for serodiagnostic purposes is
an illuminated microscope and staining jars. Object slides were cleansed in a 100%
alcohol-ether mixture (1:1) and dipped in a suspension of HCG- coupled bacteria via
GA obtained as in Example I in PBS containing 0,1% gelatin, which was dried for 2
hours in air. Rabbit anti-HCG antiserum was incubated at RT for 1 hour in the presence
of various HCG concentrations. A drop of the reaction mixtures was placed on the bacteria-slide
and further incubated for 1 hour. The slides were rinsed with tap water and incubated
with a HRP-conjugated goat antirabbit IgG solution for 1 hour. After the incubations,
the slides were rinsed, stained with 0.05% 3-3' diam no- benzidine tetrahydrochloride
(DAB) and 0.05% H202 in 0.05 M citrate buffer at pH 4.0 and studied either by visual
inspection or under the microscope. In the absence of HCG antigen, the spots on the
slides were coloured deep brown. In the presence of 1.600 IU/ liter antigen, the spots
on the slides were barely coloured. The smallest amount of antigen that produced a
difference in the intensity of the coloration observable by eye was 50 UL/liter HCG.
Example VII
[0062] Commercially obtained Bordetella Pertussis was sensitized with the β-subunit of HCG
by incubating 0.8 ml of glutaraldehyde activated bacteria obtained as in Example I
with 0.8 ml of phosphate-buffered saline at pH 8.0 containing 400
/ug/ml B HCG for 48 hours at 37°C. After sensitization the bacteria were further incubated
with 1 mg of the water-soluble immunity adjuvant N-acetyl-muramyl-L-analyl-D- Isoglutamine
for 18 hours at RT.
[0063] The sensitized and immunology-enhanced bacteria were then emulsified in a water-in-oil
emulsion and inoculated by doses of 0.4 ml in multiple intradermal sites in rabbits.
Five rabbits received the sensitized bacterial suspension and five rabbits received
the same ingredients emulsified in oil but not covalently coupled to the bacteria
which were not activated.
[0064] The rabbits were bled 35 days later and the level of anti-HCG antibodies present
was assessed through a test using sensitized sheep erythrocytes. The maximal dilution
of the individual antiserum that could be made and still agglutinate the sensitized
red cells is recorded in Table II.

[0065] The data from Table II indicate that the covalent coupling of the antigen to the
bacteria incorporated into the Freund complete adjuvant and further treated with a
soluble immunological adjuvant, is beneficial in the production of higher-titered
antibodies.
Example VIII
[0066] Sheep red blood cells collected at the slaughterhouse were washed in saline. A 20%
suspension of sheep RBC in PBS was mixed 1:1 with a 5% solution of G.A. and put under
agitation at 37°C during 3 days. The cells were washed and sensitised with HCG at
37°C during 2 days, as in Example I. The cells aggregated in the presence of antibodies
on a slide test and could further be used as immunogen for the creation of antibodies
in rabbits.
[0067] Preferably the glutaraldehyde solution is at a final concentration of glutaraldehyde
ranging between about 2.5% and about 10%, preferably 5%.
1. A method of sensitizing a bacterial strain, yeast cells, red blood cells or other
unicellular living entities which comprises the step of activating one of a bacterial
strain, yeast cells, red blood cells or other unicellular entities;and reacting the
same with a sensitizing agent of the group essentially consisting of an antigen, an
antibody, a hapten, a nucleic acid, a carbohydrate, an aminoacid, an affinity receptor
and a protein, to produce the bacterial strain, yeast, red blood cells or other unicellular
entities, having the sensitizing agent coupled thereto, characterized in that the
activating step is performed with an activating agent essentially consisting of a
glutaraldehyde solution at a final concentration of at least 2.5% mixed with one of
said bacterial strains, yeast cells, red blood cells or other unicellular entities
at a pH ranging from 5 to 9, at a temperature ranging from 20°C to 60°C and during
at least 24 hours, preferably at least 48 hours.
2. A method according to claim 1, wherein one of said bacterial strains, yeast cells,
red blood cells or other unicellular entities are under the form of a suspension at
about 20% (volume/volume) in buffered saline, preferably phosphate buffered saline.
3. A method according to claim 1 or 2, wherein the temperature is at least about 37°C
and the reaction proceeds during at least about 48 hours.
4. A method according to claim 1, 2 or 3, wherein sensitization is performed by mixing
a suspension of the activated bacterial strain, yeast cells, red blood cells or other
unicellular entities at about 50% (volume/volume) with said sensitizing agent and
reacting the mixture thus obtained under agitation at a pH ranging from 5 to 10 during
at least 24 hours at about 37°C or more.
5. A method according to any one of claims 1 to 4, for the detection and determination
of a component of an antigen-antibody reaction and of a receptor-binding partner reaction
in a liquid sample containing the component to be determined, comprising the step
of providing a reagent consisting of a solid phase of one component of said reaction
selected from the group consisting of an antigen, an antibody and a receptor covalently
bound to the surface of a bacterial strain, yeast cells, red blood cells or unicellular
entities, contacting a given quantity pf said liquid sample with said reagent and
determining the extent of aggregation of the solid phase as a measure of the presence
and quantity of the component to be determined.
6. A method according to any one of claims 1 to 4, for the detection and determination
of a component of an antigen-antibody reaction and a receptor-binding partner reaction
on a solid surface, wherein one of the components of the reaction is immobilized on
a solid surface, comprising the step of providing a given quantity of a reagent of
an antigen, an antibody, an antiglobulin and a receptor covalently bound to the surface
of a bacterial strain and having binding properties for said component immobilized
on the solid surface, contacting said solid surface with said reagent, washing the
solid surface and determining the extent of the presence therein of the bacteria immunologically
or affinity-bound to it as a measure of the presence and quantity of the component
to be determined.
7. A method according to any one of claims 1 to 4, for the detection and determination
of a component of a binding partners reaction on a solid surface, comprising the step
of immobilizing on a solid surface a given quantity of a reagent consisting of one
component of said reaction selected from the group consisting of an antigen, an antibody,
an antiglobulin and a receptor covalently bound to the surface of a bacterial strain,
contacting it with a liquid sample containing a binding partner for the component
immobilized on the solid surface and determining the extent of binding partner immunologically
or affinity attached to the bacterial phase immobilized on the solid surface.
8. A method according to any one of claims 1 to 4, for the isolation and determination
of a component of an antigen-antibody reaction and of a receptor-binding partner reaction
in a liquid sample containing said component comprising the steps of :
a) contacting the liquid sample with a reagent comprising a solid phase consisting
of one component of said reaction selected from the group consisting of an antigen,
an antibody, an antiglobulin, a lectin and a receptor covalently bound to the surface
of a bacterial strain, yeast cells, red blood cells and other unicellular entities.
b) isolating the solid phase, and
c) determining the quantity of binding partner attached to the solid phase.
9. A method according to any one of claims 1 to 4, for the production of antibodies
comprising the steps of :
a) sensitizing a bacterial strain, red blood cells, yeast and other unicellular entities,
with a component selected from the group consisting of an antigen, an immunogen and
a hapten, and
b) inoculating the sensitized carrier into an animal or a human.
10. The methods of claims 5 and 6 wherein bacterial coagglutination with another naturally
reactive or sensitized particulate solid phase is taking place.
11. The methods of claims 5, 6 and 10, wherein the sensitized carriers are stained.
12. The methods of claims 5, 6, 10 and 11, wherein the aggregation is evaluated by
a slide test, by nephelometry, by turbidimetry, by aggregate size evaluation, by visual
inspection, by microscopy or by light scattering.
13. The methods of claims 5, 6, 7 and 8, wherein the sensitized solid phase isotopically,
enzymatically or fluorescently tagged.
14. The methods of claims 5, 6, 7 and 8, wherein the sensitized solid phase is further
contacted with an isotopically, enzymatically or fluorescently tagged binding partner
for the sensitized solid phase or an attached part thereof.
15. The methods of claim 8, wherein the solid reaction phase is eluted and isolated
by acid treatment, chaotropic treatment, alkali treatment or competitive affinity
treatment.
16. The method of claim 8, wherein the quantity of binding partner immunologically
or affinity attached to the sensitized solid phase is determined by providing simultaneously
or at a later time a second reagent having binding properties for one of the binding
partners covalently, immunologically or affinity bound to the solid phase, said second
reagent being tagged by a radioisotope, a fluoro- phore and an enzyme.
17. The method of claim 9, wherein the sensitized bacterial strain, yeast cells, red
blood cells and other unicellular entities are further covalently linked to a soluble
unspecific immunological adjuvant, preferably through incubation of a mixture of both.
18. The method of claim 17, wherein the immunological adjuvant is N- acetyl-muramyl-L-alanyl-D-Isoglutamine.
19. The method of claims 9, 17 and 18 wherein the sensitized bacterial strain yeast
cells, red blood cells are incorporated into the aqueous phase of a water-in-oil emulsion.